Evidence map›Paper›PMID 37232236›Full record

ArticleJournal of the American Heart Association2023

Association of Cardiovascular Health Assessed by the New Life's Essential 8 Metrics With Years Lived Without Cardiovascular Disease.

Xue Xia, Shuohua Chen, Xue Tian, Qin Xu, Yijun Zhang, Xiaoli Zhang, Penglian Wang, Shouling Wu, Liming Lin, Anxin Wang

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Marital Failure and Subsequent Heart Failure: A Prospective Study.Journal of the American Heart Association · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Xue XiaDepartment of Neurology, Beijing Tiantan Hospital Capital Medical University Beijing China.ORCID 0000-0002-1719-0598
Shuohua ChenDepartment of Cardiology Kailuan General Hospital Hebei China.ORCID 0000-0002-6274-7471
Xue TianDepartment of Neurology, Beijing Tiantan Hospital Capital Medical University Beijing China.
Qin XuDepartment of Neurology, Beijing Tiantan Hospital Capital Medical University Beijing China.ORCID 0000-0002-8039-709X
Yijun ZhangDepartment of Neurology, Beijing Tiantan Hospital Capital Medical University Beijing China.
Xiaoli ZhangDepartment of Neurology, Beijing Tiantan Hospital Capital Medical University Beijing China.ORCID 0009-0003-8986-3119
Penglian WangDepartment of Neurology, Beijing Tiantan Hospital Capital Medical University Beijing China.
Shouling WuDepartment of Cardiology Kailuan General Hospital Hebei China.ORCID 0000-0001-7095-6022
Liming LinCardiovascular Laboratory of Kailuan General Hospital Hebei China.ORCID 0009-0008-6489-8434
Anxin WangDepartment of Neurology, Beijing Tiantan Hospital Capital Medical University Beijing China.ORCID 0000-0003-4351-2877

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background The American Heart Association recently proposed an updated definition of cardiovascular health (CVH) named as Life's Essential 8. We aimed to explore the association between this latest published CVH measurement and years lived without cardiovascular disease (CVD) among the Chinese population. Methods and Results We included 89 755 adults free of CVD at baseline from the Kailuan study. The CVH of each participant was scored (from 0 point to 100 points) and classified (low [0-49 points], moderate [50-79 points], and high [80-100 points]) according to Life's Essential 8, which incorporated 8 components covering health behaviors and health factors. Incident CVD was documented through follow-ups from baseline (June 2006 to October 2007) until December 31, 2020. CVD-free life years from age 30 to 80 years associated with different CVH scores were estimated using flexible parametric survival models. A total of 9977 incident CVDs were recorded. We observed a gradient relationship between CVH score and years lived without CVD. The age- and sex-adjusted CVD-free life years (95% CI) were 40.7 (40.3-41.0) years for low CVH, 43.3 (43.0-43.5) years for moderate CVH, and 45.5 (45.1-45.9) years for high CVH. Similar trends were noted when individual subtypes of CVD were investigated, and high CVH evaluated by health behaviors and health factors was also related to longer CVD-free life years. Conclusions A higher CVH evaluated by the updated Life's Essential 8 metrics was significantly associated with a greater number of life years without CVD, indicating the importance of promoting CVH for healthy aging in China.

Indexed as

Cardiovascular DiseasesAdultAgedAged, 80 and overChinaHealth BehaviorHealth StatusHumansMiddle AgedRisk FactorsUnited Statescardiovascular diseasecardiovascular healthdisease‐free life yearsLife's Essential 8 metrics

Identifiers

PMID37232236
PMCPMC10381977

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.